Representing Provider Role in Team Care Settings

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Type Standard Implementation/Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Final
Production
Rating 3
No
Free
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • NUCCPT codes capture roles of direct care providers as well as other members of the care team as well as those provider supporting health services.

Comments

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I commented on how to properly reference the NUCC Provider Taxonomy code system and a value set that represents it in the Representing Health Care Providers section. The value set has an old name that perhaps should be changed to remove the "(HIPAA)". Noting that this element exists and is the proper use of the NUCC Provider Taxonomy, there can be confusion about how those concepts should also be used in the Representing Health Care Providers section. 

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Taxonomy codes should be added as a standard. The pharmacy industry uses this value set to determine covered practice settings.

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NUCC Taxonomy is challenging.  SNOMED CT is better for this purpose, as it references ONLY the singular aspect of provider role and does not merge three separate aspects (role, setting and specialty).